Alloplasty becomes saving in some difficult cases of reconstructive surgery of the locomotor system

Abstract

Objectives of study During surgical interventions on osteoarticular apparatus appear difficult cases when highly professional orthopedic doctors are facing unusual tactical and technical hardships, unclear safety prognosis of a rationally planned treatment. As usually, surgeons tend to choose the most appropriate method in given circumstances, and even invent new surgical procedures, but alloplasty still remains a saving method. Material and methods According to our experience, alloplasty seemed to be necessary during following operations: removing by resection of tumors and pseudo tumors, bone defects and cervico-cephalic endoprosthesis in 3rd age patients with femoral neck fracture in which the intramedullary channel is enlarged. We have proposed a stable fixation of prosthetic rod in channel by application of a cortical graft in cases of purulent complications, bone defects, after sequestrectomy, when the remaining defect is too large and may be substituted by allograft. Results The results were confirmed in 200 patients with these pathologies, operated in our clinic. Alloplastic grafting contributed favorably to fix, restore, and maintain the integrity of the affected bone, substitution of remaining defect and creation of prodigious medical and biological conditions in local osteogenesis and their perfect integration. Conclusions In selection of the rational treatment in difficult situations, we were based on our experience in osteoarticular alloplasty during last 50 years. Positive results were obtained in 95.2% of cases. Retrospective analysis of the results of treatment using given method shows the absence of better alternative regenerative treatment.